Authors : Dr. Muhammad Mozammal Haque; Dr. A.B.M. Luthful Kabir; Dr. Mostafa Kamal Arefin; Dr. Md. Shahriar Islam; Dr. Rashedul Islam; Md. Azizul Hoque Manik; Dr. Syed Sanaul Islam; Dr. Mohammad Shaharior Arafat Shawrave; Dr. Muhammad Nazrul Islam; Dr. Shaikh Nurul Fattah Rumi
Volume/Issue : Volume 5 - 2020, Issue 9 - September
Google Scholar : http://bitly.ws/9nMw
Scribd : https://bit.ly/32K9TcY
DOI : 10.38124/IJISRT20SEP204
Objective:
To evaluate the frequency and presentation of
different type of deep neck abscess.
This was a cross sectional study which was carried
out in the departments of ENT and Head-Neck surgery
Dhaka Medical College Hospital during the period of
September, 2019 to 29th February, 2020. A Total 72
patients were selected according to selection criteria
patient was interviewed, examined and investigated
during admission and postoperatively. Pus was collected
and examined microbiologically. All the information and
data was recorded and analyzed by a standard statistical
method.
Age ranges 6-71 years with a mean age 34.82 ±
14.33 year, 47(65%) male and 25(35%) female.
Maximum numbers of patient (47, 65.29%) were within
21 to 50 years age group. 55(76.39%) patients were from
rural and 17(23.61%) were from urban community.
38(52.78%) patient were from low socieoeconomic
groups. The most common presenting symptom was
neck swelling (76.39%). Fever was present in 45.83%
cases, neck pain 43.06%, dysphagia 25%, dysphonia
23.61%, Odynophagia 19.44% and Trismus 15.27%.
The most commonly encountered site was the
submandibular space. The common aetiology were
Odontogenic infection (48.61%), Cervical tuberculosis
(26.39%), pharyngo-tonsillitis (15.29%), URTI (12.5%)
and others. Diabetes mellitus was diagnosed in 45.83%
of cases, where complications occurred in 93.33%. The
major complications of were airway obstruction
(13.89%), neck skin loss (20.83%) and generalized
septicemia (9.72%).
Deep neck abscess is more common in patients of
poor socioeconomic class and rural habitat. Bad oral
hygiene, odontogenic infections and upper respiratory
tract infections are important etiological factor. DM may
be a precipitating factor in deep neck abscesses. So,
Proper dental and oral care, control of diabetes mellitus
and early intervention will reduce the morbidity and
mortality
Keywords : Deep Neck Abscesses, Risk Factor